| NPI | 1699850560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE CRUZ CORDERO Manager 786-514-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 1312950) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |